Provider Demographics
NPI:1891327375
Name:MARJAN SALARI DDS PLLC
Entity Type:Organization
Organization Name:MARJAN SALARI DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-441-2376
Mailing Address - Street 1:9455 DERAMUS FARM CT
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-1499
Mailing Address - Country:US
Mailing Address - Phone:240-441-2376
Mailing Address - Fax:
Practice Address - Street 1:9455 DERAMUS FARM CT
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-1499
Practice Address - Country:US
Practice Address - Phone:240-441-2376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental